Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Sep 4, 2008
License(s)
MD435472 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 549 FAIR ST | Bloomsburg, PA 17815-1419 | 570-387-2100 |
| MAILING | 549 FAIR ST | Bloomsburg, PA 17815-1419 | 570-387-2100 |
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